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OasisLMS
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Multiprofessional Critical Care Review: Pediatric ...
Ethics
Ethics
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Video Transcription
Video Summary
In this video, Dr. Mike Ushay discusses ethical issues in pediatric critical care medicine. He covers topics such as end-of-life care, clinical ethics, and principles of consent and assent. Dr. Ushay explains the best interest standard and the substituted judgment standard used in surrogate decision-making for patients without capacity to make decisions for themselves. He discusses the importance of considering the developmental continuum of pediatric patients and the responsibilities of pediatricians to both the patient and the parents. Dr. Ushay also touches on topics like confidentiality in adolescent patients, prognoses of complex illnesses, and the role of children as research subjects. He explains the principles of autonomy, beneficence, non-maleficence, and justice in biomedical ethics. The video also addresses the Baby Doe case, which highlighted the beginnings of bioethics in pediatrics and influenced regulations on withholding care from imperiled newborns. Dr. Ushay discusses the principle of double effect and its application in providing comfort measures like morphine to dying patients. He also covers topics such as futility, shared decision-making, and the limits of parental discretion in healthcare decision-making. The video concludes with a discussion of informed consent, advanced directives, emergency treatment, and moral distress in pediatric intensive care. Additionally, Dr. Ushay briefly mentions the impact of the COVID-19 pandemic on ventilator rationing and the ethical considerations surrounding resource allocation during a crisis.
Keywords
pediatric critical care medicine
ethical issues
end-of-life care
clinical ethics
consent and assent
surrogate decision-making
bioethics in pediatrics
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